Individual
MRS. MELINDA CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143
(216) 272-3963
Mailing address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143-1525
(216) 272-3963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.00365
OH
Other
Enumeration date
09/18/2014
Last updated
07/31/2018
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